Edgar C Cordero MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD034650L Issued in PA

Legal business name

EDGAR C CORDERO MD PC

Practice address

627 McKean Ave
Donora, PA 15033-1002

Phone

(724) 379-7250

Fax

(724) 379-7608

NPI assigned

Aug 9, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edgar Cortazar Cordero, MD

Title

President

Phone

(724) 379-7250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023019551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 MCKEAN AVE",
            "address_2": "PO BOX 641",
            "city": "DONORA",
            "state": "PA",
            "postal_code": "150331002",
            "telephone_number": "724-379-7250",
            "fax_number": "724-379-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 MCKEAN AVE",
            "city": "DONORA",
            "state": "PA",
            "postal_code": "150331002",
            "telephone_number": "724-379-7250",
            "fax_number": "724-379-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR C CORDERO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "CORTAZAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-379-7250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD034650L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0927550",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Donora, PA
• Providers in Donora, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.